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Community Health Indicators

Community Health Indicators. CHAPTER 7. Community Health Indicators. Chart 7.1: U.S. Population Trends and Projections by Age, 1980 – 2060 (1). Source: U.S. Department of Commerce, Bureau of the Census. Projections of the Population by Sex and Age for the United States: 2015-2060 .

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Community Health Indicators

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  1. Community Health Indicators CHAPTER 7

  2. Community Health Indicators Chart 7.1: U.S. Population Trends and Projections by Age, 1980 – 2060(1) Source: U.S. Department of Commerce, Bureau of the Census. Projections of the Population by Sex and Age for the United States: 2015-2060. (1) Years 2015 through 2060 are projections.

  3. Community Health Indicators Chart 7.2: U.S. Population Trends and Projections by Race, 2015 – 2060(1) Source: U.S. Department of Commerce, Bureau of the Census. Projections of the Population by Sex, Race, and Hispanic Origin for the United States: 2015-2060. (1) Years 2015 through 2060 are projections. (2) All Other includes American Indian, Native Alaskan, Native Hawaiian, other Pacific Islander and two or more races. (3) Black, Asian and All Other categories include Hispanic and non-Hispanic individuals.

  4. Community Health Indicators Chart 7.3: Age-adjusted Death Rates, Selected Causes, by Race, 2014 (1) (1) Source: National Center for Health Statistics. (2016). Health, United States, 2015. Hyattsville, MD. (1) Racial categories include individuals of both Hispanic and non-Hispanic origin.

  5. Community Health Indicators Chart 7.4: Percent of People with Chronic Conditions by Number and Sex,(1) 2013 Percent of Individuals Source: Analysis of 2013 Medical Expenditure Panel Survey data. (1) The analysis was based on the following study: Anderson, G. (2010). Chronic Care: Making the Case for Ongoing Care. Johns Hopkins University and the Robert Wood Johnson Foundation. There were two distinct differences between this analysis and the study’s methodologies. First, this analysis used the Chronic Conditions as defined by the Agency for Healthcare Research and Quality Medical Expenditure Panel Survey (MEPS) documentation. Second, it solely relied on MEPS 2013 data and did not use the two additional data sources that were referenced in the Anderson 2010 study (i.e., three opinion telephone surveys commissioned by the Partnership for Solutions and designed by Johns Hopkins and the 1996 Survey of Income and Program Participation data for characteristics of family caregivers).

  6. Community Health Indicators Chart 7.5: Percent of Fee-for-Service Medicare Beneficiaries with Chronic Conditions, 2014 (1) Source: Centers for Medicare & Medicaid Services. Medicare Chronic Condition Dashboard. Data released January 7, 2016. Available at: https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Chronic-Conditions/CCDashboard.html. (1) Chronic obstructive pulmonary disease. Previously Percent of People with Chronic Conditions by Type, 2006. Source: Anderson, G. (2010). Chronic Care: Making the Case for Ongoing Care. Johns Hopkins University and the Robert Wood Johnson Foundation.

  7. Community Health Indicators Chart 7.6: Number of Persons with Asthma, 1980 – 2014 Source: Centers for Disease Control and Prevention (2002). Surveillance of Asthma – United States, 1980-1999. National Center for Health Statistics. National Health Interview Survey 2001, 2006, 2007, 2008, 2009, 2010, 2011, 2012, 2013 and 2014.

  8. Community Health Indicators Chart 7.7: Percent of Adults with Hypertension by Sex,(1) 1988 – 1994 and 2011 – 2014 Source: National Center for Health Statistics. (2016). Health, United States, 2015. Hyattsville, MD. (1) Data are age-adjusted to 2000 standard population.

  9. Community Health Indicators Chart 7.8: Percent of Adults Who Are Overweight and Obese,(1)1960 – 2014 (2) Source: National Center for Health Statistics. (2016). Health, United States, 2015. Hyattsville, MD. (1) Data are age-adjusted to 2000 standard population. (2) Overweight includes obese.

  10. Community Health Indicators Chart 7.9: Percent of Expenses Used by People with Chronic Conditions by Service Type,(1) 2013 Source: Analysis of 2013 Medical Expenditure Panel Survey data. (1) The analysis was based on the following study: Anderson, G. (2010). Chronic Care: Making the Case for Ongoing Care. Johns Hopkins University and the Robert Wood Johnson Foundation. There were two distinct differences between this analysis and the study’s methodologies. First, this analysis used the Chronic Conditions as defined by the Agency for Healthcare Research and Quality Medical Expenditure Panel Survey (MEPS) documentation. Second, it solely relied on MEPS 2013 data and did not use the two additional data sources that were referenced in the Anderson 2010 study (i.e., three opinion telephone surveys commissioned by the Partnership for Solutions and designed by Johns Hopkins and the 1996 Survey of Income and Program Participation data for characteristics of family caregivers).

  11. Community Health Indicators Chart 7.10: Percent of Spending for Individuals with Chronic Conditions by Insurance Status,(1) 2013 Uninsured Privately Insured Medicaid Beneficiaries Ages 65+ with Medicare Only Ages 65+ with Medicare and Supplemental Insurance Ages 65+ with Medicare and Medicaid Source: Analysis of 2013 Medical Expenditure Panel Survey data. (1) The analysis was based on the following study: Anderson, G. (2010). Chronic Care: Making the Case for Ongoing Care. Johns Hopkins University and the Robert Wood Johnson Foundation. There were two distinct differences between this analysis and the study’s methodologies. First, this analysis used the Chronic Conditions as defined by the Agency for Healthcare Research and Quality Medical Expenditure Panel Survey (MEPS) documentation. Second, it solely relied on MEPS 2013 data and did not use the two additional data sources that were referenced in the Anderson 2010 study (i.e., three opinion telephone surveys commissioned by the Partnership for Solutions and designed by Johns Hopkins and the 1996 Survey of Income and Program Participation data for characteristics of family caregivers).

  12. Community Health Indicators Chart 7.11: Percent of Medicare Fee-for-Service Beneficiaries vs. Percent of Medicare Spending, by Number of Chronic Conditions,(1) 2014 Percent of Beneficiaries (2) Percent of Medicare Spending (2) Source: Centers for Medicare & Medicaid Services. Medicare Chronic Condition Dashboard. Data released January 7, 2016. Available at: https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Chronic-Conditions/CCDashboard.html. (1) Includes 15 CMS identified chronic conditions. (2) Percentages were rounded, so they do not add to 100percent. Previously Percent of Population vs. Percent of Spending, by Number of Chronic Conditions, 2006. Source: Anderson, G. (2010). Chronic Care: Making the Case for Ongoing Care. Johns Hopkins University and the Robert Wood Johnson Foundation.

  13. Community Health Indicators Chart 7.12: Percent of Medicare Fee-for-Service Spending on Chronic Conditions, by Type of Service,(1) 2010 $20.0B $57.2B $86.0B $141.8B (2) (3) (4) Source: Centers for Medicare & Medicaid Services. Chronic Conditions Among Medicare Beneficiaries Chartbook 2012. Available at: http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Chronic-Conditions/Downloads/2012Chartbook.pdf. (1) Includes 15 CMS identified chronic conditions. (2) PAC = Post-Acute Care. (3) E&M = Evaluation & Management. (4) DME = Durable Medical Equipment. Chart added in Chartbook 2013. Replaced: Working Age Adults with Activity Limitations Due to Chronic Conditions, by Condition and Age, 2006-2007. Source: National Center for Health Statistics. (2010). Health, United States, 2009. Hyattsville, MD.

  14. Community Health Indicators Chart 7.13: Percent Uninsured by Race, 1984 – 2014 Percent of Population Under Age 65 Source: National Center for Health Statistics. (2016). Health, United States, 2015. Hyattsville, MD. (1) Includes individuals of non-Hispanic origin only. (2) Includes individuals of Hispanic and non-Hispanic origin.

  15. Community Health Indicators Chart 7.14: Percent of Adults with No Usual Source of Care by Race, 1997 – 2014 Percent of Adults Ages 18-64 Source: National Center for Health Statistics. (2016). Health, United States, 2015. Hyattsville, MD. (1) Includes individuals of non-Hispanic origin only. (2) Includes individuals of Hispanic and non-Hispanic origin.

  16. Community Health Indicators Chart 7.15: Percent of Adults with No Usual Source of Care by Insurance Status, 1997 – 2014 Percent of Adults Ages 18-64 Source: National Center for Health Statistics. (2016). Health, United States, 2015. Hyattsville, MD.

  17. Community Health Indicators Chart 7.16: Percent of Children with No Usual Source of Care by Race, 1997 – 2014 Source: National Center for Health Statistics. (2016). Health, United States, 2015. Hyattsville, MD. (1) Includes individuals of Hispanic and non-Hispanic origin. (2) Includes individuals of non-Hispanic origin only.

  18. Community Health Indicators Chart 7.17: Percent of Children with No Usual Source of Care by Insurance Status, 1997 – 2014 Percent of Children Under 18 Years Source: National Center for Health Statistics. (2016). Health, United States, 2015. Hyattsville, MD.

  19. Community Health Indicators Chart 7.18: Percent of Individuals with No Health Care Visits by Race, Insurance Status, 1997 and 2014 Percent of Individuals (1) (1) (2) Insurance Status Race Source: National Center for Health Statistics. (2016). Health, United States, 2015. Hyattsville, MD. (1) Includes individuals of non-Hispanic origin only. (2) Includes individuals of Hispanic and non-Hispanic origin.

  20. Community Health Indicators Chart 7.19: Percent of Children with No Health Care Visits by Race, Insurance Status, 1998 and 2014 (1) (2) (1) Race Insurance Status Source: National Center for Health Statistics. (2016). Health, United States, 2015. Hyattsville, MD. (1) Includes individuals of non-Hispanic origin only. (2) Includes individuals of Hispanic and non-Hispanic origin.

  21. Community Health Indicators Chart 7.20: Percent of Children with No Dental Visits by Race, Poverty Status, 1997 and 2014 (1) (2) (1) (3) Race Poverty Status Source: National Center for Health Statistics. (2016). Health, United States, 2015. Hyattsville, MD. (1) Includes individuals of non-Hispanic origin only. (2) Includes individuals of Hispanic and non-Hispanic origin. (3) FPL = federal poverty level.

  22. Community Health Indicators Chart 7.21: Percent of Children Vaccinated(1) by Race, Poverty Status, 2009(2) and 2014 (4) (3) (3) (3) Poverty Status Race • Source: National Center for Health Statistics. (2016). Health, United States, 2015. Hyattsville, MD. • (1) Vaccinations include DTP, Polio, MMR, Hib, Hepatitis B, Varicella and PCV. • (2) Classification methodology changed for the Influenza Type B vaccine—before January 2009, NIS did not distinguish between Hib vaccine product types, so children who received three doses of the vaccine that required four doses were misclassified as fully vaccinated.  • (3) Includes individuals of non-Hispanic origin only. • (4) FPL = federal poverty level.

  23. Community Health Indicators Chart 7.22: Percent of Women(1) Receiving Mammography(2) byRace, Poverty Status, 1994 and 2013 (3) (4) (3) (5) Race Poverty Status Source: National Center for Health Statistics. (2016). Health, United States, 2015. Hyattsville, MD. (1) Women over 40 years of age. (2) Indicates use of mammography in two years prior to 1994 and 2013. (3) Includes individuals of non-Hispanic origin only. (4) Includes individuals of Hispanic and non-Hispanic origin. (5) FPL = federal poverty level.

  24. Community Health Indicators Chart 7.23: Percent of Adults(1) with Chronic Conditions by Insurance Type, 2012 (2) (3) Source: Centers for Disease Control and Prevention. Multiple Chronic Conditions Among US Adults: A 2012 Update. Available at: http://www.cdc.gov/pcd/issues/2014/13_0389.htm. (1) Includes individuals 18 years of age and above. (2)Public health insurance includes Medicaid, Children’s Health Insurance Program and Medicare. (3)Other health insurance includes state-sponsored health plans, other government programs and military health plans. Chart added in Chartbook2016.

  25. Community Health Indicators Chart 7.24: Total Expenses on Top 10 Most Costly Conditions Among Adults(1) by Sex, 2013 $29 $26 $26 $18 $18 Osteo-arthritis Normal birth/Live born(2) Diabetes Hyperlip- idemia(3) Back Problems(3) COPD, Asthma Systemic lupus and connective tissues disorders(2) Mental Disorders Hyper-tension Cancer Trauma-related Disorders Heart Conditions Source: Agency for Healthcare Research and Quality. Center for Financing, Access, and Cost Trends. Household Component of the Medical Expenditure Panel Survey, 2013. Available at: https://meps.ahrq.gov/mepsweb/. (1) Only includes adults ages 18 and older. (2) Normal birth/live born and systemic lupus and connective tissues disorders are not included among the top ten most costly conditions for males. (3) Back Problems and Hyperlipidemia are not included among the top ten most costly conditions for females. Chart added in Chartbook2016.

  26. Community Health Indicators Chart 7.25: 30-Day Readmission Rate for Medicare Fee-for-Service Beneficiaries by Number of Chronic Conditions,(1) 2014 Source: Centers for Medicare & Medicaid Services. Medicare Chronic Condition Dashboard. Data released January 7, 2016. Available at: https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Chronic-Conditions/CCDashboard.html. (1) Includes 15 CMS identified chronic conditions. Chart added in Chartbook 2013.

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